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- Copyright
- © Society of Behavioral Medicine 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
- ISSN
- 0883-6612
- eISSN
- 1532-4796
- DOI
- 10.1093/abm/kaab091
- Publisher site
- See Article on Publisher Site
Abstract
BackgroundCOVID-19 vaccine uptake is an urgent public health priority.PurposeTo identify psychosocial determinants (attitudes, normative pressure, and perceived behavioral control) of COVID-19 vaccination intentions for U.S. White, Black, and Hispanic adults, and how COVID-19 misperceptions, beliefs about the value of science, and perceived media bias relate to these determinants.MethodsLongitudinal online survey using two national samples (18–49 years old/50 years and older), each stratified by racial/ethnic group (n = 3,190). Data were collected in October/November 2020 and were weighted by race group to be representative.ResultsPath analyses showed that more positive attitudes about getting vaccinated predict intention across age and racial/ethnic groups, but normative pressure is relevant among older adults only. Belief in the value of science was positively associated with most determinants across all groups, however the association of COVID-19 misperceptions and perceived media bias with the determinants varied by age group.ConclusionsMessages that emphasize attitudes toward vaccination can be targeted to all age and racial/ethnic groups, and positive attitudes are universally related to a belief in the value of science. The varying role of normative pressure poses messages design challenges to increase vaccination acceptance.
Journal
Annals of Behavioral Medicine – Oxford University Press
Published: Oct 1, 2021
Keywords: Health behavior; COVID-19 vaccine; Misinformation; Reasoned action; Intention